Patient Access Specialist - Evenings (Billing & Insurance)

Care New England; Providence (RI); Vor Ort; USD 36.000 - 48.000; Vollzeit

Zusammenfassung

Care New England Health System in Providence, RI seeks a Patient Access Associate to provide efficient access to patients and providers within the system. You will complete registration upon arrival to Patient Assessment Services or Partial Hospital and support billing readiness.

Responsibilities include collecting demographics, verifying insurance, entering benefits in Avatar, and coordinating with Financial Counselors to address copays and payment plans. Strong customer service is essential.

Qualifikationen

• High School Diploma and a minimum of two year job-related experience or equivalent is required.
• Certificate of Medical Terminology and strong oral communications skills are required.
• Exceptional patient relation and customer service skills are critical.
• Minimum typing speed of 40 wpm with a working knowledge of personal computers.
• Ability to utilize multiple applications within an environment are required.
• Experience in a medical office or customer service preferred.

Aufgaben

• Obtains all demographic information.
• Verifies Insurance eligibility via online resources or phone call when necessary and enters bundles in Avatar.
• Determine adequate levels of benefits for treatment programs, inputting in Avatar the patients Mental Health benefit breakdown including Deductible information, what is owed and what has been met, copay information, co-insurance information, out of pocket information, Medicare days if on Medicare.
• Review registrations for accuracy. Enter benefits; prepare files for the Business Office for billing.
• Review authorization requirements on all Inpatient Admissions; inform clinical staff when authorization is needed.
• Updates Teletracking with any anticipated insurance impact and any possible admissions.
• Completes MSPQ with patient/family member for all Medicare patients.
• Verifies all information is scanned under correct episode along with correct benefits.
• Photographs patient, creates labels for paperwork, prints patient bracelets when applicable.
• Has patient sign appropriate financial forms allowing the hospital to bill appropriately.
• Advises Financial Counselor when patients having financial responsibilities present for partial hospital admission.
• Refers patients to Financial Counselor for guidance regarding co-pays, payment plans, or Applications for Financial Assistance.
• Refers patients to Financial Counselor for collection of payment for copays/deductibles.
• Performs other duties as assigned.

Kenntnisse

Customer service

Communication

Typing 40 wpm

Multitasking

Ausbildung

High School Diploma or equivalent

Medical Terminology Certification

Jobbeschreibung

Care New England Health System in Providence, RI seeks a Patient Access Associate to provide efficient access to patients and providers within the system. You will complete registration upon arrival to Patient Assessment Services or Partial Hospital and support billing readiness.

Responsibilities include collecting demographics, verifying insurance, entering benefits in Avatar, and coordinating with Financial Counselors to address copays and payment plans. Strong customer service is essential.